CensusEasy
CensusEasy
RANKING · 2024 ACS · 51 SHOWN OF 51

Highest uninsured rate, US states

US states ranked by the share of residents without health insurance (2024 ACS). Texas leads at 17.1%. 51 states qualify in total. The top 25 average 10.0%, against an all-states median of 7.2%. Biggest climber in the top 100 since 2020: Delaware, DE, up 6 places to #32.

All statesAll rankings
RANKPLACESTATEPOPUNINSUREDVS 2020
USUnited States334,922,4998.4%–
01Texas, TXTX30,188,42417.1%−0.2 pts
02Oklahoma, OKOK4,028,63412.9%−1.5 pts
03Georgia, GAGA10,940,40712.4%−0.6 pts
04Florida, FLFL22,416,07711.5%−1.2 pts
05▲3Nevada, NVNV3,184,61211.4%+0.2 pts
06▲1Wyoming, WYWY582,39711.3%−0.1 pts
07▼2Alaska, AKAK735,70611.0%−1.6 pts
08▼2Mississippi, MSMS2,946,77911.0%−1.0 pts
09▲1Arizona, AZAZ7,378,83810.5%−0.1 pts
10▲3Tennessee, TNTN7,066,38310.0%+0.3 pts
11▼2North Carolina, NCNC10,730,4049.9%−0.8 pts
12▲3New Mexico, NMNM2,120,2469.6%+0.1 pts
13▼1South Carolina, SCSC5,296,2259.6%−0.8 pts
14▲2Alabama, ALAL5,086,7689.2%−0.3 pts
15▼4Idaho, IDID1,934,2629.1%−1.3 pts
16▼2South Dakota, SDSD907,4289.0%−0.6 pts
17▲5Arkansas, ARAR3,049,3919.0%+0.7 pts
18▲1Kansas, KSKS2,947,1978.8%+0.1 pts
19▼2Missouri, MOMO6,191,8148.8%−0.6 pts
20▲1Montana, MTMT1,116,8758.6%+0.2 pts
21▼3Utah, UTUT3,392,3318.4%−0.6 pts
22▼2Louisiana, LALA4,611,9617.8%−0.9 pts
23▲3Colorado, COCO5,862,1897.7%−0.1 pts
24▲4New Jersey, NJNJ9,343,8097.5%−0.1 pts
25Indiana, ININ6,851,0737.4%−0.6 pts
26▼2Nebraska, NENE1,978,7077.2%−0.9 pts
27▼4Virginia, VAVA8,705,1706.9%−1.3 pts
28▲3Illinois, ILIL12,694,7986.9%+0.1 pts
29▲1California, CACA39,287,3776.6%−0.6 pts
30▼1North Dakota, NDND784,8416.5%−0.7 pts
31▲4Ohio, OHOH11,810,2936.4%+0.2 pts
32▲6Delaware, DEDE1,021,1916.3%+0.5 pts
33▲4Maryland, MDMD6,206,0116.3%+0.4 pts
34Washington, WAWA7,816,1166.3%+0.1 pts
35▼8Maine, MEME1,387,8176.2%−1.4 pts
36▼3West Virginia, WVWV1,778,3736.0%−0.2 pts
37▲2Kentucky, KYKY4,534,8246.0%+0.4 pts
38▼6Oregon, OROR4,254,2935.9%−0.7 pts
39▲1Pennsylvania, PAPA13,018,6395.6%0.0 pts
40▲4Connecticut, CTCT3,624,5085.4%+0.3 pts
41▼5New Hampshire, NHNH1,394,8685.3%−0.7 pts
42▼1Wisconsin, WIWI5,914,8725.2%−0.3 pts
43New York, NYNY19,852,3665.1%−0.3 pts
44▲1Iowa, IAIA3,210,5075.0%+0.3 pts
45▼3Michigan, MIMI10,077,7614.9%−0.5 pts
46Minnesota, MNMN5,739,4454.7%+0.2 pts
47Rhode Island, RIRI1,101,8014.4%+0.1 pts
48Vermont, VTVT647,1063.9%−0.1 pts
49▲1District of Columbia, DCDC681,2943.6%−0.1 pts
50▼1Hawaii, HIHI1,445,2353.6%−0.3 pts
51Massachusetts, MAMA7,044,0562.6%−0.1 pts
SHOWING 1–51 OF 51

UPDATED 2026-09-11 · DATA: US CENSUS BUREAU ACS 5-YEAR ESTIMATES

Frequently asked

Which state has the highest uninsured?

Texas ranks #1 with 17.1% (2024 American Community Survey).

What are the top 5 states by uninsured?

Texas, Oklahoma, Georgia, Florida, Nevada.

How many states are in this ranking?

51 states qualify after filtering for population minimums and data availability. The ranking covers 2024 ACS 5-year data.

How is uninsured measured?

Share of residents without health insurance. Source: US Census Bureau, American Community Survey 5-year estimates (2024).